| Doctor Name: | KAMALA ANNE MARTIN |
| NPI Number: | 1265643431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 256880 |
| Business Practice Address: | 17 Howe Ln Northborough, MA - 015321542 |
| Business Phone Number: | 5082771075 |
| Business Fax Number: | |
| Mailing Address: | 17 Howe Ln, NORTHBOROUGH |
| State: | MA |
| Postal Code: | 015321542 |
| Phone Number: | 5082771075 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 256880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |